MRS. SHARILYN M DALTON (NPI# 1902942758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902942758 |
| Entity Type | Individual |
| Full Name | MRS. SHARILYN M DALTON |
| Credential | PA |
| Practice Address |
12361 W Bola Dr #100 Surprise AZ 85378-9019 |
| Mailing Address |
2414 W Angela Dr Phoenix AZ 85023-2116 |
| Practice Telephone | 6235845626 |
| Practice Fax Number | 6235848998 |
| Mailing Telephone | 6022148908 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
3122 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3122 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12361 W BOLA DR #100 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990094 | Robert C Waldrip | Orthopaedic Surgery | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 | 2005-08-24 |
| 1255817847 | Atlantis Cardiac & Vascular Center of Surprise, LLC | Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2018-07-17 |
| 1417497066 | Nicole Barth | Nurse Practitioner | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 2017-03-01 |
| 1881132314 | Laurel Sockrider | Nurse Practitioner | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | 2017-02-04 |
| 1598125791 | Raghav LLC | Psychiatry & Neurology | 12361 W Bola Dr, Ste 109, Surprise, AZ 85378-9021 | 2016-03-01 |
| 1528496411 | Travis S Jensen Dpm PC | Podiatrist | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-10-31 |
| 1538500046 | Joseph M Janzer, Do PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1457792962 | Lawrence Kelly, Md PC | Orthopaedic Surgery | 12361 W Bola Dr, Surprise, AZ 85378-9021 | 2013-07-12 |
| 1962841742 | The Ortho Joint of Arizona, LLC | Orthopaedic Surgery | 12361 W Bola Dr, #100, Surprise, AZ 85378-9021 | 2013-06-14 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| 1679954002 | Cobalt Rehabilitation Hospital Iv, LLC | Rehabilitation Hospital | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2015-06-11 |
| Find all providers in zip 85378 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
| 1497006795 | Anna Christine Stelter | Physician Assistant | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374 | 2012-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 1982124509 | Catherine Fredrickson | Physician Assistant | 51312 W Deer Run Rd, Maricopa, AZ 85139-3554 | 2017-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.